| NPI | 1942810403 |
|---|---|
| Former Legal Business Name | SUMMIT RIDGE COUNSELING GROUP, INC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN PUCH CEO 816-729-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-08-08 |